World Journal of Emergency Surgery (Sep 2021)
WSES/GAIS/SIS-E/WSIS/AAST global clinical pathways for patients with intra-abdominal infections
- Massimo Sartelli,
- Federico Coccolini,
- Yoram Kluger,
- Ervis Agastra,
- Fikri M. Abu-Zidan,
- Ashraf El Sayed Abbas,
- Luca Ansaloni,
- Abdulrashid Kayode Adesunkanmi,
- Boyko Atanasov,
- Goran Augustin,
- Miklosh Bala,
- Oussama Baraket,
- Suman Baral,
- Walter L. Biffl,
- Marja A. Boermeester,
- Marco Ceresoli,
- Elisabetta Cerutti,
- Osvaldo Chiara,
- Enrico Cicuttin,
- Massimo Chiarugi,
- Raul Coimbra,
- Elif Colak,
- Daniela Corsi,
- Francesco Cortese,
- Yunfeng Cui,
- Dimitris Damaskos,
- Nicola de’ Angelis,
- Samir Delibegovic,
- Zaza Demetrashvili,
- Belinda De Simone,
- Stijn W. de Jonge,
- Sameer Dhingra,
- Stefano Di Bella,
- Francesco Di Marzo,
- Salomone Di Saverio,
- Agron Dogjani,
- Therese M. Duane,
- Mushira Abdulaziz Enani,
- Paola Fugazzola,
- Joseph M. Galante,
- Mahir Gachabayov,
- Wagih Ghnnam,
- George Gkiokas,
- Carlos Augusto Gomes,
- Ewen A. Griffiths,
- Timothy C. Hardcastle,
- Andreas Hecker,
- Torsten Herzog,
- Syed Mohammad Umar Kabir,
- Aleksandar Karamarkovic,
- Vladimir Khokha,
- Peter K. Kim,
- Jae Il Kim,
- Andrew W. Kirkpatrick,
- Victor Kong,
- Renol M. Koshy,
- Igor A. Kryvoruchko,
- Kenji Inaba,
- Arda Isik,
- Katia Iskandar,
- Rao Ivatury,
- Francesco M. Labricciosa,
- Yeong Yeh Lee,
- Ari Leppäniemi,
- Andrey Litvin,
- Davide Luppi,
- Gustavo M. Machain,
- Ronald V. Maier,
- Athanasios Marinis,
- Cristina Marmorale,
- Sanjay Marwah,
- Cristian Mesina,
- Ernest E. Moore,
- Frederick A. Moore,
- Ionut Negoi,
- Iyiade Olaoye,
- Carlos A. Ordoñez,
- Mouaqit Ouadii,
- Andrew B. Peitzman,
- Gennaro Perrone,
- Manos Pikoulis,
- Tadeja Pintar,
- Giuseppe Pipitone,
- Mauro Podda,
- Kemal Raşa,
- Julival Ribeiro,
- Gabriel Rodrigues,
- Ines Rubio-Perez,
- Ibrahima Sall,
- Norio Sato,
- Robert G. Sawyer,
- Helmut Segovia Lohse,
- Gabriele Sganga,
- Vishal G. Shelat,
- Ian Stephens,
- Michael Sugrue,
- Antonio Tarasconi,
- Joel Noutakdie Tochie,
- Matti Tolonen,
- Gia Tomadze,
- Jan Ulrych,
- Andras Vereczkei,
- Bruno Viaggi,
- Chiara Gurioli,
- Claudio Casella,
- Leonardo Pagani,
- Gian Luca Baiocchi,
- Fausto Catena
Affiliations
- Massimo Sartelli
- Department of Surgery Department of Surgery, Macerata Hospital
- Federico Coccolini
- Department of General, Emergency and Trauma Surgery, Pisa University Hospital
- Yoram Kluger
- Department of General Surgery, Rambam Health Care Campus
- Ervis Agastra
- General Surgery Department, Regional Hospital of Durres
- Fikri M. Abu-Zidan
- Department of Surgery, College of Medicine and Health Sciences, UAE University
- Ashraf El Sayed Abbas
- Department of General and Emergency Surgery Faculty of Medicine, Mansoura University Hospital
- Luca Ansaloni
- Department of Surgery, Fondazione IRCCS Policlinico San Matteo, University of Pavia
- Abdulrashid Kayode Adesunkanmi
- Department of Surgery, Faculty of Clinical Sciences, College of Health Sciences, Obafemi Awolowo University
- Boyko Atanasov
- Department of General Surgery, Medical University of Plovdiv, UMHAT Eurohospital
- Goran Augustin
- Department of Surgery, University Hospital Centre Zagreb
- Miklosh Bala
- Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center
- Oussama Baraket
- Department of general surgery Bizerte hospital, Faculty of Medicine of Tunis, University Tunis El Manar
- Suman Baral
- Department of Surgery, Lumbini Medical College and Teaching Hospital Ltd.
- Walter L. Biffl
- Division of Trauma/Acute Care Surgery, Scripps Clinic Medical Group
- Marja A. Boermeester
- Department of Surgery, Amsterdam University Medical Centers, location AMC, Amsterdam Gastroenterology Endocrinology Metabolism Research Institute
- Marco Ceresoli
- Emergency and General Surgery Department, University of Milan-Bicocca
- Elisabetta Cerutti
- Anesthesia and Transplant Surgical Intensive Care Unit, Ospedali Riuniti
- Osvaldo Chiara
- Emergency Department, Niguarda Ca’Granda Hospital
- Enrico Cicuttin
- Department of General, Emergency and Trauma Surgery, Pisa University Hospital
- Massimo Chiarugi
- Department of General, Emergency and Trauma Surgery, Pisa University Hospital
- Raul Coimbra
- Riverside University Health System, CECORC Research Center, Loma Linda University
- Elif Colak
- Department of General Surgery, Health Sciences University, Samsun Training and Research Hospital
- Daniela Corsi
- General Direction, Area Vasta 3, ASUR Marche
- Francesco Cortese
- Emergency Surgery Unit, San Filippo Neri’s Hospital
- Yunfeng Cui
- Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University
- Dimitris Damaskos
- Department of Surgery, Royal Infirmary of Edinburgh
- Nicola de’ Angelis
- Minimally Invasive and Robotic Digestive Surgery Unit, Regional General Hospital F. Miulli
- Samir Delibegovic
- Department of Surgery, University Clinical Center of Tuzla
- Zaza Demetrashvili
- Department General Surgery, Kipshidze Central University Hospital
- Belinda De Simone
- Department of general, Digestive and Metabolic Minimally Invasive Surgery, Centre Hospitalier Intercommunal De Poissy/St Germain en Laye
- Stijn W. de Jonge
- Division of Trauma/Acute Care Surgery, Scripps Clinic Medical Group
- Sameer Dhingra
- Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research (NIPER)
- Stefano Di Bella
- Clinical Department of Medical, Surgical and Health sciences, Trieste University
- Francesco Di Marzo
- General Surgery Unit, Sansepolcro Hospital
- Salomone Di Saverio
- Department of General Surgery, University of Insubria, University Hospital of Varese, ASST Sette Laghi
- Agron Dogjani
- Department of Surgery, University Hospital of Trauma
- Therese M. Duane
- Department of Surgery, Texas Health Resources
- Mushira Abdulaziz Enani
- Department of Medicine, Infectious Disease Division, King Fahad Medical City
- Paola Fugazzola
- Department of Surgery, Fondazione IRCCS Policlinico San Matteo, University of Pavia
- Joseph M. Galante
- Division of Trauma and Acute Care Surgery, Department of Surgery, University of California Davis
- Mahir Gachabayov
- Department of Abdominal Surgery, Vladimir City Clinical Hospital of Emergency Medicine
- Wagih Ghnnam
- Department of General Surgery, Mansoura Faculty of Medicine, Mansoura University
- George Gkiokas
- Second Department of Surgery, Aretaieion University Hospital, National and Kapodistrian University of Athens
- Carlos Augusto Gomes
- Department of Surgery, Hospital Universitário Terezinha de Jesus, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora
- Ewen A. Griffiths
- Department of Upper GI Surgery, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust
- Timothy C. Hardcastle
- Trauma Service, Inkosi Albert Luthuli Central Hospital and Department of Surgery, Nelson R Mandela School of Clinical Medicine
- Andreas Hecker
- Department of General and Thoracic Surgery, University Hospital Giessen
- Torsten Herzog
- Department of Surgery, St. Josef Hospital, Ruhr University Bochum
- Syed Mohammad Umar Kabir
- Donegal Clinical Research Academy Emergency Surgery Outcome Project, Letterkenny University Hospital
- Aleksandar Karamarkovic
- Surgical Clinic “Nikola Spasic”, Faculty of Medicine, University of Belgrade
- Vladimir Khokha
- Department of Emergency Surgery, City Hospital
- Peter K. Kim
- Department of Surgery, Jacobi Medical Center, Albert Einstein College of Medicine
- Jae Il Kim
- Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine
- Andrew W. Kirkpatrick
- General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre
- Victor Kong
- Department of Surgery, Edendale Hospital
- Renol M. Koshy
- Department of General Surgery, University Hospital of Coventry & Warwickshire
- Igor A. Kryvoruchko
- Department of Surgery #2, National Medical University
- Kenji Inaba
- Division of Trauma and Surgical Critical Care, Department of Surgery, University of Southern California
- Arda Isik
- Department of General Surgery, School of Medicine, Istanbul Medeniyet University
- Katia Iskandar
- Department of Pharmacy, Lebanese International University
- Rao Ivatury
- Department of Surgery, Virginia Commonwealth University School of Medicine
- Francesco M. Labricciosa
- Global Alliance for Infections in Surgery
- Yeong Yeh Lee
- School of Medical Sciences, Universitiy Sains Malaysia
- Ari Leppäniemi
- Abdominal Center, Helsinki University Hospital and University of Helsinki
- Andrey Litvin
- Department of Surgical Disciplines, Immanuel Kant Baltic Federal University, Regional Clinical Hospital
- Davide Luppi
- Department of General and Emergency Surgery, ASMN
- Gustavo M. Machain
- Department of Surgery, Universidad Nacional de Asuncion
- Ronald V. Maier
- Department of Surgery, University of Washington
- Athanasios Marinis
- First Department of Surgery, Tzaneion General Hospital
- Cristina Marmorale
- Department of Surgery, Università Politecnica delle Marche
- Sanjay Marwah
- Department of Surgery, Post-Graduate Institute of Medical Sciences
- Cristian Mesina
- Second Surgical Clinic, Emergency Hospital of Craiova
- Ernest E. Moore
- Ernest E Moore Shock Trauma Center at Denver Health
- Frederick A. Moore
- Department of Surgery, Division of Acute Care Surgery, and Center for Sepsis and Critical Illness Research, University of Florida College of Medicine
- Ionut Negoi
- Department of Surgery, Emergency Hospital of Bucharest
- Iyiade Olaoye
- Department of Surgery, University of Ilorin Teaching Hospital
- Carlos A. Ordoñez
- Division of Trauma and Acute Care Surgery, Fundacion Valle del Lili
- Mouaqit Ouadii
- Department of Surgery, Hassan II University Hospital, Medical School of Fez, Sidi Mohamed Benabdellah University
- Andrew B. Peitzman
- Department of Surgery, University of Pittsburgh School of Medicine, UPMC-Presbyterian
- Gennaro Perrone
- Department of Emergency Surgery, Parma Maggiore Hospital
- Manos Pikoulis
- 3rd Department of Surgery, Attiko Hospital, MSc “Global Health-Disaster Medicine”, National and Kapodistrian University of Athens (NKUA)
- Tadeja Pintar
- Department of Surgery, UMC Ljubljana
- Giuseppe Pipitone
- National Institute for Infectious Diseases - INMI - Lazzaro Spallanzani IRCCS
- Mauro Podda
- Department of General and Emergency Surgery, Cagliari University Hospital
- Kemal Raşa
- Department of Surgery, Anadolu Medical Center
- Julival Ribeiro
- Infection Control, Hospital de Base
- Gabriel Rodrigues
- Department of General Surgery, Kasturba Medical College & Hospital, Manipal Academy of Higher Education
- Ines Rubio-Perez
- General Surgery Department, Colorectal Surgery Unit, La Paz University Hospital
- Ibrahima Sall
- General Surgery Department, Military Teaching Hospital
- Norio Sato
- Department of Aeromedical Services for Emergency and Trauma Care, Ehime University Graduate School of Medicine
- Robert G. Sawyer
- Department of Surgery, Western Michigan University School of Medicine
- Helmut Segovia Lohse
- Department of Surgery, Universidad Nacional de Asuncion
- Gabriele Sganga
- Department of Medical and Surgical Sciences, Emergency Surgery & Trauma, Fondazione Policlinico Universitario A. Gemelli IRCCS
- Vishal G. Shelat
- Department of General Surgery, Tan Tock Seng Hospital
- Ian Stephens
- Donegal Clinical Research Academy Emergency Surgery Outcome Project, Letterkenny University Hospital
- Michael Sugrue
- Donegal Clinical Research Academy Emergency Surgery Outcome Project, Letterkenny University Hospital
- Antonio Tarasconi
- Department of Emergency Surgery, Parma Maggiore Hospital
- Joel Noutakdie Tochie
- Department of Emergency medicine, Anesthesiology and critical care, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I
- Matti Tolonen
- Abdominal Center, Helsinki University Hospital and University of Helsinki
- Gia Tomadze
- Surgery Department, Tbilisi State Medical University
- Jan Ulrych
- First Department of Surgery, Department of Abdominal, Thoracic Surgery and Traumatology, First Faculty of Medicine, Charles University and General University Hospital
- Andras Vereczkei
- Department of Surgery, Clinical Center University of Pecs
- Bruno Viaggi
- Department of Anesthesiology, Neuro Intensive Care Unit, Florence Careggi University Hospital
- Chiara Gurioli
- Department of Surgery, Camerino Hospital
- Claudio Casella
- Department of Molecular and Translational Medicine, University of Brescia
- Leonardo Pagani
- Department of Infectious Diseases, Bolzano Hospital
- Gian Luca Baiocchi
- Department of Surgery, AAST Cremona
- Fausto Catena
- Department of Emergency Surgery, Parma Maggiore Hospital
- DOI
- https://doi.org/10.1186/s13017-021-00387-8
- Journal volume & issue
-
Vol. 16,
no. 1
pp. 1 – 48
Abstract
Abstract Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in hospitals worldwide. The cornerstones of effective treatment of IAIs include early recognition, adequate source control, appropriate antimicrobial therapy, and prompt physiologic stabilization using a critical care environment, combined with an optimal surgical approach. Together, the World Society of Emergency Surgery (WSES), the Global Alliance for Infections in Surgery (GAIS), the Surgical Infection Society-Europe (SIS-E), the World Surgical Infection Society (WSIS), and the American Association for the Surgery of Trauma (AAST) have jointly completed an international multi-society document in order to facilitate clinical management of patients with IAIs worldwide building evidence-based clinical pathways for the most common IAIs. An extensive non-systematic review was conducted using the PubMed and MEDLINE databases, limited to the English language. The resulting information was shared by an international task force from 46 countries with different clinical backgrounds. The aim of the document is to promote global standards of care in IAIs providing guidance to clinicians by describing reasonable approaches to the management of IAIs.
Keywords
